Korean J Med.  2008 May;74(5):556-560.

Successful treatment of vesicoureteral reflux by ureteroureterostomy in renal transplant recipients

• Park MK
• Chu EH
• Ann SH
• Choi BS
• Yang CW
• Kim YS
• Bang BK

Abstract

Recurrent urinary tract infection due to vesicoureteral reflux is one of the important medical complications in renal transplant recipients. Injection of macroplastique is recommended to reduce the vesicoureteral reflux, but it can result in poor responses. Ureteroureterostomy is an invasive method, but it is advisable in patients with higher grades of vesicoureteral reflux that do not respond to medical or macroplastique injection. We here report on two cases of successful treatment of vesicoureteral reflux by ureteroureterostomy. These patients experienced repeated episodes of acute pyelonephritis in spite of long-term antibiotic treatment and repeated macroplastique injection. No more urinary tract infection was observed after ureteroureterostomy. We recommend ureteroureterostomy in renal transplant recipients who suffer with repeated acute pyelonephritis due to vesicoureteral refulx.

Keyword

Kidney transplantation; Vesicoureteral reflux; Ureteroureterostomy

MeSH Terms

Dimethylpolysiloxanes
Humans
Kidney Transplantation
Pyelonephritis
Transplants
Urinary Tract Infections
Vesico-Ureteral Reflux
Dimethylpolysiloxanes